Single-vision spherocylinder eyeglass lens, high power

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Spherocylindr 7.25d/2.25-4d

Payers reporting HCPCS V2112

Payer pricing summary

Low

$20

Average

$94

Median

$85

High

$256

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	336	$73	$78	$18	23%	—	$15 – $230
2	Aetna fee schedule · outpatient · +9 other terms	321	$77	$93	$52	56%	—	$30 – $501
3	Humana fee schedule · outpatient · +9 other terms	316	$75	$125	$146	117%	—	$54 – $699
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$89	$101	$82	81%	—	$0 – $475
5	WellCare fee schedule · outpatient · +4 other terms	202	$86	$89	$20	22%	—	$67 – $177
6	Devoted fee schedule · outpatient · +2 other terms	164	$68	$83	$11	13%	—	$65 – $96
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$73	$85	$9	11%	—	$68 – $94
8	Molina fee schedule · outpatient · +5 other terms	109	$99	$120	$48	40%	—	$57 – $238
9	Cigna fee schedule · outpatient · +5 other terms	95	$70	$87	$35	40%	—	$65 – $263
10	Anthem fee schedule · outpatient · +6 other terms	74	$68	$77	$17	22%	—	$65 – $179
11	Kaiser fee schedule · outpatient · +4 other terms	61	$70	$112	$82	73%	—	$65 – $508
12	Superior Healthplan fee schedule · outpatient	40	$95	$95	$0	0%	—	$89 – $95
13	Clover fee schedule · outpatient · +2 other terms	37	$89	$85	$10	12%	—	$68 – $95
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$155	$140	$29	21%	—	$67 – $170
15	Oscar fee schedule · outpatient · +3 other terms	32	$89	$92	$20	22%	—	$72 – $132
16	Optum fee schedule · outpatient · +2 other terms	26	$68	$89	$49	55%	—	$65 – $227
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$62	$54	87%	—	$20 – $182
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$71	$69	$4	6%	—	$58 – $72
19	Bcbs Tx fee schedule · outpatient	18	$89	$89	—	—	—	$89 – $89
20	Medicare fee schedule · outpatient · +1 other terms	18	$65	$66	$1	1%	—	$65 – $67
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$82	$81	$2	2%	—	$78 – $82
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$89	$102	$26	25%	—	$49 – $141
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$81	$81	$19	23%	—	$40 – $95
24	Wellmark fee schedule · both · +1 other terms	13	$60	$62	$11	18%	—	$60 – $129
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$73	$70	$3	4%	—	$67 – $73

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